Comparisson the effecte of acupressure on two sanynjiao (SP-6) & jianjing(GB-21) in the labor pain intensity,duration of labor, the intrapartum outcome in nulliparous women refered to selected hospital in Shiraz 2011.
Abstract:
Introduction: The propensity of using non-medicinal methods of relieving labor pain is increasing. The object of this study is to compare the influence of Acupressure at two GB-21 and SP-6 points on the labor output.
Methods: In this quasi-experimental study 250 primiparous women were divided by random allocation method into 5 groups: acupressure at GB-21 point in mono-stage; acupressure at GB-21 inbi-stage;, acupressure at SP-6 point in mono-stage; acupressure at SP-6 point in bi-stage and control group, only contact at two points. The intervention was carried out for a period of 20 minutes. The pain severity was evaluated before, immediately, 30 and 60 minutes after intervention using Visual Analog Pain Scale (VAS). The duration of active phase and 2nd stage of delivery, delivery type and the APGAR of 1st and 5th minutes of neonate was compared in groups.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT201108037217N1
Registration date:2011-09-25, 1390/07/03
Registration timing:retrospective
Last update:
Update count:0
Registration date
2011-09-25, 1390/07/03
Registrant information
Name
Marzieh Akbarzadeh
Name of organization / entity
Shiraz University of Medical Science
Country
Iran (Islamic Republic of)
Phone
+98 71 1647 4250
Email address
moradiza@sums.ac.ir
Recruitment status
Recruitment complete
Funding source
Vice Chancellor for research, Shiraz University of Medical Science
Expected recruitment start date
2010-11-06, 1389/08/15
Expected recruitment end date
2011-06-20, 1390/03/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparisson the effecte of acupressure on two sanynjiao (SP-6) & jianjing(GB-21) in the labor pain intensity,duration of labor, the intrapartum outcome in nulliparous women refered to selected hospital in Shiraz 2011.
Public title
Effect of acupressure on labor pain
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria: 1. Nulliparous women aged 18- 35 years and 37 to 41 weeks gestational age singleton and cephalic fetus. 2- Women in the active phase of labor (4-3 cm dilatation) or before. 3- Failure to develop mental and anatomical disorders (psychosis, schizophrenia, abnormalities of uterine and pelvic stenosis).4- Lack of chronic diseases (heart disease, pulmonary hypertension, and diabetes).5- Lack of high-risk pregnancy (gestational hypertension, decreased fetal movements, intrauterine growth restriction, fetal death, and polyHydramnious oligohydramnious recognized by ultrasound, rupture of membranes more than 12 hours, history of infertility). 6 - The literacy level of secondary school. 7 - No risk of skin ailments like eczema and skin infections, are the limitations of acupressure. .8 -no use of oxytocin to induce and strengthen labor. Physically healthy and do not have any limit for the intervention (pre-eclampsia, seizures, premature rupture of membranes, etc.). 10 - Written consent form must be filled. 11- Prior entering the study do not used any of other methods for anesthesia.
Exclusion criteria: using oxytosin and every maternal or fetal factor that cause cesarean section
Age
From 18 years old to 35 years old
Gender
Female
Phase
1-2
Groups that have been masked
No information
Sample size
Target sample size:
250
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Single blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Shiraz university of medical science
Street address
Zand street, Shiraz University of Medical science
City
Shiraz
Postal code
Approval date
2010-11-06, 1389/08/15
Ethics committee reference number
5259-89
Health conditions studied
1
Description of health condition studied
labor pain
ICD-10 code
xv o00-o99
ICD-10 code description
Pregnancy, childbirth and the puerperium
Primary outcomes
1
Description
Labor pain
Timepoint
Before intervention, Immidietly, 30 minuts and 60 minuts after intervention
Method of measurement
Visual Analog Scale
Secondary outcomes
1
Description
Duration of active phase of labor
Timepoint
After the end of active phaz
Method of measurement
Measuring the time duration
2
Description
Duration of second stage of labor
Timepoint
After delivery
Method of measurement
Measuring the time duration
3
Description
Delivery type
Timepoint
After delivery
Method of measurement
Number of vaginal delivery and cesarean section
4
Description
Neonatal Apgar
Timepoint
1st and 5th minutes after delivery
Method of measurement
Apgar number
Intervention groups
1
Description
Acupressure at GB-21 in 3-4 and 7-8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention.
Category
Other
2
Description
Acupressure at GB-21 in 3-4 cm dilatation and assessing labor pain before,immediatly,30 and 60 min after the intervention
Category
Other
3
Description
Acupressure at SP-6 in 3-4 cm dilatation and assessing labor pain before,immediatly,30 and 60 min after the intervention
Category
Other
4
Description
Acupressure at SP-6in 3-4 and 7-8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention.
Category
Other
5
Description
Control group: Tuching GB-21 in 3-4 and SP-6 in 7-8 cm dilatation for 20 min in each time and assessing Labor pain before, immediately after the intervention,30 and 60 minutes after the intervention.
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Hafez Hospital
Full name of responsible person
Street address
City
Shiraz
2
Recruitment center
Name of recruitment center
Shushtari Hospital
Full name of responsible person
Street address
City
Shiraz
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Shiraz University of Medical Science
Full name of responsible person
Gholamreza Hatam
Street address
Zand street
City
Shiraz
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shiraz University of Medical Science
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Shiraz University of Medical Sciences
Full name of responsible person
Marzieh Akbarzadeh
Position
Msc in midwifery
Other areas of specialty/work
Street address
Shiraz nursing and midwifery schiil, Nemazi squre
City
Shiraz
Postal code
Phone
+98 917 715 0234
Fax
Email
Akbarzadehmarzieh@yahoo.com
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Shiraz Unsity of Medical Sciencei
Full name of responsible person
Marzieh Akbarzadeh
Position
Msc in Midwifery
Other areas of specialty/work
Street address
School of Nursing and Midwifery, Nemazi Squere
City
Shiraz
Postal code
Phone
+98 917 715 0234
Fax
Email
Akbarzadehmarzieh@yahoo.com
Web page address
Person responsible for updating data
Contact
Name of organization / entity
Fasa University of Medical Sciences
Full name of responsible person
Zahra Moradi
Position
Msc in Midwifery /Officer
Other areas of specialty/work
Street address
Fasa University of Medical Sciences, Ebnesina Squre,
City
Fasa
Postal code
Phone
Fax
Email
moradizahra13@yahoo.com
Web page address
Sharing plan
Deidentified Individual Participant Data Set (IPD)